Core Module

Atrial Fibrillation

Introduction

Atrial Fibrillation (AF) is the most common sustained arrhythmia. Estimates suggest the prevalence of AF is increasing, with 1 in 4 people >40 years old developing AF in their lifetime. AF can be caused by a number of medical conditions and as such requires thorough assessment and investigation. This tutorial hopes to cover important content including diagnosis, assessment, management to control symptoms and prevent complications.

Content Contributors:

Author: Dr Christina Ewington

CONTENT APPROVAL: Dr Mooney
EDITOR: Dr Sahani Jayawardane

Version History Version
Version 1 – July 2021

  • It requires 30 minute preparation.

  • It can be taught in 1 - 1.5 hours


Teaching approach

As with all modules, familiarise yourself with the NPMT principles.

session learning objectives:

  • Define atrial fibrillation

  • Identify the ECG features of atrial fibrillation 

  • List the causes of atrial fibrillation

  • Describe basic initial assessment and investigation priorities in atrial fibrillation 

  • Describe the complications of untreated atrial fibrillation

  • Be aware of tools used to assess a patient’s clotting and bleeding risk

  • Discuss the management options for atrial fibrillation


Tips & Tricks on running an effective session:

  • Have students practice interpreting ECGs to become familiar with the key characteristics (LITFL has an excellent library of ECGs to source from) 

  • Emphasise that AF can be caused by reversible underlying illnesses (e.g. acute ischaemia, electrolyte abnormalities or sepsis) and as such these should always be part of your assessment 

  • Refer students to MDCalc to review the CHAD-VASc and HAS-BLED scores for risk stratification

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